Genetic testing was once only available to individuals with a family history of certain genetic conditions or those who were experiencing symptoms. In recent years however, advances in technology...
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Medical necessity is one of the hardest things for both payers and providers to get right due to the complexity these policies usually require. However, medical necessity serves an important role...
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The first tool to automate repricing of claims, variance reports for over and under payments and monitoring of retroactive changes. Today, payers looking to reconcile inaccurate payments rely on...
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“How much should a healthcare provider be reimbursed for the services they provided our member?” While a seemingly straightforward question, the answer, unfortunately, continues to elude payers....
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